SG Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SG PHARMA INC

Practice address

4905 Stockdale Hwy
Bakersfield, CA 93309-2637

Phone

(661) 489-3500

Fax

(661) 489-3553

NPI assigned

Apr 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ebram Tawdrous, PHARMACISTNPI 1447696471

Title

Ceo

Phone

(559) 274-3234

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• ACCESS SPECIALTY PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Access Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SG Pharma Inc

  • Long Term Care Pharmacy
  • Bakersfield, CA
  • NPI 1710850003
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebram L Tawdrous, RPH

  • Pharmacist
  • Bakersfield, CA
  • NPI 1447696471
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1457972754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092637",
            "telephone_number": "661-489-3500",
            "fax_number": "661-489-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092637",
            "telephone_number": "661-489-3500",
            "fax_number": "661-489-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "TAWDROUS",
        "authorized_official_first_name": "EBRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-274-3234",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY LICENSE",
            "identifier": "60659",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "661-489-3500",
            "affiliation": "N",
            "endpointDescription": "phone",
            "address_1": "4905 Stockdale Hwy",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933092637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ACCESS SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACCESS SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerry Lynn Seydel, M.D.
• David Richard Seymour, MFT
• Missy Joy Seymour
• Vanessa Shianna Seymour
• SG Homecare,Inc.
• SG Pharma Inc
• SGTV Transportation LLC
• Nelsalina Deborah Shabazz, LVN
• Shabbir a. Shakir
• Adam Shafer, D.O.

• Community/Retail Pharmacy in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.